How do I file a complaint with BCBS of Illinois?
There are two ways to file an appeal or grievance (complaint): Call Member Services at 1-877-860-2837. If you do not speak English, we can provide an interpreter at no cost to you. If you are hearing impaired, call the Illinois Relay at 711.
Is BCBS Illinois part of Hcsc?
Blue Cross and Blue Shield of Illinois is a division of HCSC, a Mutual Legal Reserve Company, an independent licensee of the Blue Cross and Blue Shield Association.
What is timely filing for BCBS of IL?
BCBSIL Facility Providers Claims must be filed with BCBSIL on or before December 31 of the calendar year following the year in which the services were rendered.
How do you explain EOB?
An Explanation of Benefits (EOB) is a statement that your insurance company sends that summarizes the costs of health care services you received. An EOB shows how much your health care provider is charging your insurance company and how much you may be responsible for paying. This is not a bill.
Is Blue Cross Blue Shield of Illinois accepted out of state?
Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.
What does Bcbsil stand for?
With 8.1 million members, Blue Cross and Blue Shield of Illinois (BCBSIL) is the largest health insurance company in Illinois.
What is claim scrubber?
What is a Claim Scrubber? Claim Scrubbers review medical claims for coding and billing accuracy. This claim data review takes place after a claim is created in the RCM system but before going to the payer.
What are the three figures that are commonly depicted on an EOB?
the payee, the payer and the patient.
Can you use Bcbsil of Illinois out of state?
Information about Blue Card® | Insurance when you travel. If you travel outside of the country, you should know how your health insurance works away from home. As a Blue Cross and Blue Shield of Illinois (BCBSIL) member, you may be able to take your healthcare benefits with you when you are gone!